Nurse-Led Nutritional Education for Moroccan Dialysis Patients

NCT ID: NCT07277530

Last Updated: 2025-12-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-01

Study Completion Date

2025-06-30

Brief Summary

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Why was this study done? Many dialysis centers in Morocco lack dietitians to provide proper, individualized dietary support to patients. High potassium levels (hyperkalemia) are a major risk factor for heart problems in dialysis patients. This study tested whether a simple nutritional education program, led by a nurse, could help patients better manage their diet and safely reduce their serum potassium levels.

Who participated? Thirty (30) adult patients with end-stage renal disease receiving hemodialysis participated in the study. They were recruited from three public hemodialysis centers in Morocco that did not have permanent dietitians.

What did participants do? The study was conducted from February to June 2025. Participants received an educational intervention led by a nurse. The sessions covered potassium content in food, fluid intake, thirst management, and physical activity.

What did the study find (Results)? The educational program resulted in a statistically significant reduction in patients' serum potassium levels. The percentage of patients within the ideal potassium range (4 to 5 mmol/L) increased from 36.7% at the start to 46.7% at the end. This demonstrates that a nurse-led program is a practical and beneficial approach to help lower cardiovascular risk in resource-scarce settings.

The study found no significant changes in Quality of Life (QoL) or interdialytic weight gain (IDWG).

Detailed Description

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This is a single-group, pre-post interventional study designed to evaluate the impact of a nurse-led nutritional education program on the management of End-Stage Renal Disease (ESRD) patients undergoing hemodialysis in a resource-limited setting in Morocco. The study enrolled 30 adult patients.

The intervention was conducted over five months (February to June 2025). The program was delivered by a nurse and included face-to-face sessions as well as remote support (WhatsApp). The educational content focused on three main areas:

Dietary management to reduce hyperkalemia (potassium content in food). Fluid restriction and thirst management. Salt restriction and low-impact physical activity. The primary outcome measure was the change in serum potassium levels (Kalemia) from baseline (T0) to post-intervention (T1). Secondary outcomes included changes in interdialytic weight gain (IDWG) and Quality of Life (QoL).

The results demonstrated a statistically significant reduction in patients' serum potassium levels, supporting the practical benefits of the nurse-led program.

Conditions

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Chronic Kidney Disease 5D Hyperkalemia Hemodialysis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

This is a pre-post experimental investigation. All participants were assigned to the single intervention group and acted as their own controls, with outcomes measured before (T0) and after (T1) the nurse-led nutritional education program. There was no separate control group.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Nutritional Education Intervention

This arm represents the single group in this pre-post study. All 30 participants received the educational intervention over five months (Feb-June 2025). The program focused on dietary management of potassium and fluid, salt intake, and physical stretching exercises, delivered by a nurse in the Moroccan dialect.

Group Type EXPERIMENTAL

Nutritional Education Intervention

Intervention Type BEHAVIORAL

Educational sessions focused on dietary management of potassium and fluid restriction, salt intake, and low-impact physical activity (stretching). The program was delivered by a nurse in the Moroccan dialect via face-to-face and remote (WhatsApp) communication.

Interventions

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Nutritional Education Intervention

Educational sessions focused on dietary management of potassium and fluid restriction, salt intake, and low-impact physical activity (stretching). The program was delivered by a nurse in the Moroccan dialect via face-to-face and remote (WhatsApp) communication.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Patients with end-stage renal disease (ESRD) undergoing maintenance hemodialysis. Participants must have provided written informed consent.

Exclusion Criteria

* Patients who declined to participate; patients who were minors (under 18 years old); and patients with conditions impairing their ability to understand or receive educational content, such as severe hearing loss or cognitive impairment.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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HASSAN 1st university

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Settat Hemodialysis Center,el borouj Hemodialysis Center, Al amal Hemodialysis Center

Settat, Settat, Morocco

Site Status

Countries

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Morocco

Other Identifiers

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CERS/UEMF-2025/EC10/02

Identifier Type: OTHER

Identifier Source: secondary_id

CERS/UEMF-2025/EC10/02

Identifier Type: -

Identifier Source: org_study_id

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